Prescription Pain Mishonga Inogona Kukupa Rubatsiro
Kune mamwe marudzi ekurwadziwa, kana kupfuura-the-counter (OTC) marwadzo ekurwadziwa haako akakwana, chiremba wako angasarudza kunyorera mishonga yepamhando yakasimba yekusunungurwa kwehurwa. Yeuka kutaurirana nachiremba wako pamusoro peimwe mimwe mishonga yaunotora, kusanganisira chero zvigadziridzo, nokuti inogona kuwirirana nemishonga yepamusoro paintericers.
Anticonvulsants
Kunyange zvazvo anticonvulsants inowanzoshandiswa kugadzirisa kuputika, ivo vakagadziridzwa kuburikidza mukurapa marwadzo, kunyanya kurwadziwa kunokonzerwa nehutano hwemhutu.
Zvinotendwa kuti mishonga iyi inoshanda kuburikidza nekuderedza kukwanisa kwemitsipa - kunyanya mitsipa yakakanganiswa - kutumira zvirwere zvinorwadza. Carbamazepine, somuenzaniso, inodzivirira masero emagetsi kubva pakupfura kazhinji.
- Mienzaniso: Izvi zvinosanganisira Tegretol (carbamazepine), Klonopin (clonazepam), Topamax (topiramate), Neurontin (gabapentin), Gabitril (tiagabine), Lyrica (pregabalin) uye Valium (diazepam).
- Zvakanakisisa pakurapa: kurwadziwa kunokonzerwa ne-postherpetic neuralgia (kurwadziwa kwemashupa kubva kumapuranga), trigeminal neuralgia uye kurwadziwa kwemasurupa kunokonzerwa nechirwere cheshuga (chirwere cheshuga chirwere).
- Zvakakosha Kuziva: Zvizhinji zveanticonvulsants zvakanyatsorambidzwa, asi carbamazepine inogona kuva nemigumisiro yakakomba, kusanganisira zvinetso zveropa uye zvinogadzirisa zvirwere; vashandi vanofanira kuongororwa nguva dzose nekuda kweizvi nezvimwe zvekuita. Iyi mishonga inobvumirana uye inopesana nevakadzi vane pamuviri.
Antidepressants
Vatsvakurudzi vanotanga kunzwisisa kunzwisisika kwakakonzera-uye-kushamwaridzana ukama pakati pekutambudzika uye kuora mwoyo.
Zvinodzvinyirira zvinoshanda kuburikidza nekuchinja maitiro uye zvinokonzerwa neurotransmitter muuropi. Pakati pemitatu mikuru yevanhu vanorwisa mweya: 1) Tricyclic, 2) sarotonin reuptake inhibitors (SSRIs) uye 3) kusarudza serotonin-norepinephrine reuptake inhibitors (SSNRIs), tricyclics inonyanyogadziriswa kuti iite marwadzo.
Zvisinei, SSNRIs yakafanana neCymbalta (duloxetine), yakave yakaratidza kuti yakabudirira kune mamwe marudzi ehutambudzo, akafanana nehutachiona hweuropathy.
- Mienzaniso: Izvi zvinosanganisira Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Elavil (amitriptyline), Norpramin (desipramine), Effexor (venlafaxine), Sinequan (doxepin), Wellbutrin (bupropion), Serzone (nefazodone), Desyrel (trazadone) uye Cymbalta (duloxetine).
- Zvakanakisisa Zvokurapa: Migraines, kurwadziwa kwepanguva, chirwere chepfungwa, chirwere cheshuga chirwere cheropa, fibromyalgia, kurwadziwa shure uye neuralgia inopera.
- Zvakakosha Kuziva: Zvizhinji zvinotapukisa zvinotora mazuva akawanda kana vhiki kuti dzishande; nekuda kwechikonzero ichi, vangave vakanyoreswa nemumwe mushonga wepainkiller sechinonzi antisteroidal anti-inflammatory drug (NSAID). Maitiro ekurwisana nehana anoshandiswa kurapa zvinowanzopera kudarika maitiro ekurapa kuora mwoyo.
Antimigraine Mishonga
Iyo mitatu mitatu yemishonga inorayirwa kuti migraines - triptans, ergots, uye isometheptene - inonzi inobvisa mishonga nokuti, yakatorwa kare zvakakwana, inogona kudzivirira migraine kana kuti kuderedza zvakanyanya marwadzo akabatanidzwa. Iyi mishonga inoshanda nekugadzirisa mishonga yeropa, kunyanya zvirwere zvemazuva, zvichiita kuti kudzvinyirira kuuropi.
- Mienzaniso: Izvi zvinosanganisira Imitrex (sumatriptan), Zomig (zolmitriptan), Maxalt (rizatriptan), Amerge (naratriptan), Axert (almotriptan), Frovalan (frovatriptan), Midrin (isometheptene, dichloralphenazone, acetaminophen) uye Ergomar, Wigraine, Cafergot, Migranal (ergotamine) mishonga.
- Zvakanakisisa pakurapa: Migraines, asi kurwadziwa kunogona kubviswa kana mishonga inoshandiswa pakutanga kwemigraine zviratidzo.
- Zvakakosha Kuziva: Triptans dzave dzakabatanidzwa nemigumisiro yakaipisisa, kusanganisira moyo nekurwadziwa kwemoyo; vanogonawo kubatana zvisina kunaka nemimwe mishonga, kusanganisira SSRIs uye Tagamet (cimetidine).
Corticosteroids
Corticosteroids inoshanda nekuderedza kupisa; iyo inowanzonyorwa mumadhodhi maduku kuti kuderedze njodzi dzemigumisiro yakaipa. Chiremba-simba corticosteroids inogona kutorwa nemuromo, nejisi, ne inhaler, kana setikikiki.
- Mienzaniso: Izvi zvinosanganisira Deltasone (prednisone), Hydeltrasol (prednisolone) uye Solu-Medrol (methylprednisolone).
- Zvakanakisisa Kurapa: kurwadziwa uye kuputika kunobatanidza rheumatoid arthritis uye lupus.
- Zvinokosha Kuti Uzive: Nyaya dzisinganzwisisiki corticosteroids dzinobatanidza nemigumisiro yakakomba, kusanganisira kurema, glaucoma, cataracts, shuga yakakosha yeropa, ulcers, kuchengetedza kwemvura, mafungiro ekudzivirira mafungiro, kudzivirira zvirwere zvekuzvidzivirira uye kuwedzerwa mune ropa uye osteoporosis.
Cox-2 Inhibitors
Cox-2 inhibitors ndiyo NSAIDs dzisina kunyanya kukonzera kushungurudzika kwepamuviri kune dzimwe mhando dzeNSAIDS, kufanana neAspirin, ibuprofen, uye naproxen. Cox-2 inhibitors inoshanda nekudzivisa kubudiswa kwe cyclo-oxygenase-2, enzyme inotungamirira mukuputira nekurwadziwa.
- Muenzaniso: Yega Cox-2 inhibitor ikozvino inowanikwa muU.S. is Celebrex (celecoxib).
- Zvakanakisisa Zvokurapa: Arthritis nekurwa kwemwedzi.
- Zvinokosha Kuziva: Muna 2004, Vioxx (rofecoxib) - COX-2 inhibitor yakaitwa naMerck - yakabviswa pamusika nekuda kwekubatana nekurwadziwa kwepfungwa uye kurohwa. Celebrex inogona kuisa njodzi dzakadaro.
Opioids
Opioids yakatanga kuwanikwa kubva kumiti yepoppy; nhasi, opioid inowanika muhupenyu uye maitiro akaitwa. Iko inowanikwa pamwe chete nedzimwe chirwere chepineti, se ibuprofen uye acetaminophen. Nemhaka yokuti opioid ine zvinodhaka uye zvinokonzera kushungurudza, dzimwe nguva zvinorondedzerwa nekukurudzira.
- Mienzaniso: Izvi zvinosanganisira maritaini akawanda e morphine, Codeine (codeine phosphate), Actiq (fentanyl citrate), Oxycontin (oxycodone) uye Vicodin (hydrocodone neacetaminophen).
- Zvakanakisisa Zvokurapa: kurwadziwa kwakanyanya, kwakadai sorudzi rwehurombo runogona kuitika mushure mekuvhiyiwa kana kukuvadzwa kwakakomba kana kurwadziwa kwakanyanya pamusana pekenza yemastastrase.
- Zvakakosha Kuziva: Opioids vane mikwanisi yekuita zvinodhaka, asi kana inoshandiswa sezvinorayirwa kurwadziwa kwenguva pfupi, dambudziko iri rakanyanya kuderedzwa. Zvinosvibisa zvinogona kusanganisira kuvhiringidza, kusuruvara, kurara uye zvinetso zvokufema.
Nyaya Yokutanga Yakagadzirwa naNaveed Slaeh, MD, MS, musi wa2/28/2016.
Sources
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"Management of Acute, Chronic, uye Cancer Pain." asahq.org . 2001. American Society of Anesthesiologists. 21 Jan. 2009
"Mishonga yeMarwadzo." MedlinePlus . 8 Jun 2007. Masangano eNational Health. 21 Jan. 2009